Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ROPER ST FRANCIS HOSPITAL-BERKELEY INC

SC · Facility ID 420110 · FY2026

Total HAC Score

-0.0214

Percentile

51.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0214

Hospital score -0.0214. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.917
  • CLABSIz -1.407
  • CAUTIz 0.477
  • SSIz 0.329
  • CDIz 1.411
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.9172-0.13470.66420.7989
CAUTI0.4772-0.38060.36040.7410
CDI1.4109-0.59600.13500.7311
CLABSI-1.4065-0.02140.70790.7293
SSI0.3285-0.37840.34720.7256

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within SC (51 scored): 55.9th

Score distributionThreshold 0.3792Hospital -0.0214

Hospital score -0.0214. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 50.2th

Score distributionThreshold 0.3792Hospital -0.0214

Hospital score -0.0214. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0214; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 points.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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